- Baptist Memorial (Memphis, TN)
- …as obtaining authorizations, claims review, patient billing, appeal writing, auditing, and/or denial management ; 3-5 years case management experience, or ... Overview Specialist - Denial Mitigation II RN Job Code:...nursing program Training Description Minimum Required Preferred/Desired Nursing, Case Management or Denial Management . Familiarity… more
- Baptist Memorial (Memphis, TN)
- …as obtaining authorizations, claims review, patient billing, appeal writing, auditing, and/or denial management ; 3-5 years case management experience, or ... Overview Specialist - Denial Mitigation II RN Job Code:...nursing program Preferred/Desired Training Description Minimum Required: Nursing, Case Management or Denial Management . Familiarity… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as an Impatient Coding Denial Specialist ? At Parallon, you come first. HCA Healthcare has committed up to ... have the opportunity to make a difference. We are looking for a dedicated Impatient Coding Denial Specialist like you to be a part of our team. **Job Summary and… more
- Beth Israel Lahey Health (Burlington, MA)
- …just taking a job, you're making a difference in people's lives.** The Denial Specialist will identify, review, and interpret third-party payments, adjustments, ... that they are maintained at the levels expected by management . Analyzes work queues and other system reports. Identifies...system to identify paid claims or root causes of denial when assessing physician inpatient denials. Respond… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical records ... not limited to utilization review, hospital reimbursement, clinical compliance, case management , and transitions of care, as outlined in the responsibilities below.… more
- Sharp HealthCare (San Diego, CA)
- …and PCP, health plans and other service providers.Make phone calls to members, physician offices, health plans, and providers to assist in care coordination under ... and maintain case files.Provide clerical support and assistance to the Case Management team.Contributes to the continuous improvement initiatives of the Case … more
- St. Luke's University Health Network (Allentown, PA)
- …billing for physician and advanced practitioner services for the St. Luke's Physician Group. The Accounts Receivable Specialist I is responsible for accurate ... ability to pay for health care. The Accounts Receivable Specialist I is responsible for the billing and collection...Identifies and reports any claim submission issue trends to Management team. + Obtains and maintains a basic understanding… more
- St. Luke's University Health Network (Allentown, PA)
- …strategies for clinical documentation or current program in use for clinical documentation management program. Work with the physician advisor in review of ... of a patient's ability to pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis… more
- UPMC (Pittsburgh, PA)
- …To perform authorization activities of inpatient, outpatient and emergency department patients, denial management and all revenue functions. Need to demonstrate, ... Pittsburgh Physicians Department of Pediatric Rehabilitation is hiring a full-time Authorization Specialist to join their team. This is a Monday through Friday… more
- Seattle Children's (Seattle, WA)
- …creation of educational materials. Experience in revenue cycle functions, including coding denial management and appeals process. Experience in research of payer ... to ensure coding and documentation compliance. **Required Credentials** Certified Coding Specialist - Physician Based (CCS-P) certification by the American Health… more
- HCA Healthcare (Frankfort, KY)
- …billing, revenue integrity, collections, payment compliance, credentialing, health information management , customer service, payroll and physician billing. We ... 156,000 hours volunteering in our communities. As a Appeals Specialist with Parallon you can be a part of...team, validating appeal criteria is met. + Compose technical denial arguments for reconsiderations. + Identify contract protection to… more
- Weill Cornell Medical College (New York, NY)
- …forms to confirm accuracy of CPT, ICD10 and modifiers selected by the physician performing evaluation and management , procedures, surgery and other services in ... Title: Coding Compliance and Training Specialist Location: Midtown Org Unit: Coding Administration Work Days: Monday-Friday Weekly Hours: 35.00 Exemption Status:… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …notes, review reports, identify areas of deficiencies and make determinations regarding physician accuracy and education needs. Review denial reports to ... Required: CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist - Physician . Preferred: N/A **Special Skills** Required: Understanding of… more
- Northern Light Health (Dover Foxcroft, ME)
- Northern Light Mayo Hospital Department: Physician Practice Central Ops Position is located: Medical Office Bldg- Dover Foxcroft Work Type: Full Time Hours Per Week: ... after onsite training is completed. Summary: Responsible for facilitating the management of requested medical services for appropriate utilization of resources, by… more
- University of Miami (Hialeah, FL)
- …compatible with orders. + Communicates professionally identified discrepancies, documentation issues, denial management issues and coding concerns in the medical ... the Clinical Documentation Specialists for concurrent queries to the providers, ensuring physician responses to queries are reflected in the code assignment. +… more
- Alabama Oncology (Birmingham, AL)
- …Business Office Summary: Under general supervision, an AR Account Follow-Up Specialist is responsible for account follow-up for all assigned accounts, resolving ... receivable current including monitoring for delinquent payments. The Account Follow-Up Specialist will review insurance claims and take the appropriate action,… more
- Penn Medicine (Philadelphia, PA)
- …groups - from clinicians, to staff responsible for authorizations, billing, and denial management , as well as executive leadership. **Responsibilities:** + ... Are you living your life's work? **Job Title:** Practice Coding Specialist II **Department:** Surgery Outpatient Chair Billing **Location:** Fully Remote **Entity:**… more
- LogixHealth (Dania Beach, FL)
- Location: On-Site in Dania Beach, FL This Role: As a Junior Medical Billing Specialist at LogixHealth, you will work with a team of fellow medical billers, ... healthcare billing + Familiarity with payer regulations, claims appeals processes, and denial reasons + Proficiency in EHR and billing systems and clearinghouse… more
- LogixHealth (Dania Beach, FL)
- Location: On-Site in Dania Beach, FL This Role: As a Billing Specialist at LogixHealth, you will work with a team of fellow medical billers, administrators, and ... healthcare billing + Familiarity with payer regulations, claims appeals processes, and denial reasons + Proficiency in EHR and billing systems and clearinghouse… more
- University of Virginia (Charlottesville, VA)
- …diagnostic codes (ICD-10-CM) and CPT codes for Orthopedics providers' Evaluation and Management Services (E/M), procedures and diagnostic testing in all settings for ... + Monitors, analyzes, and resolves charge review, claim edit, and coding-related denial trends and shares trends with supervisor, managers, and team members to… more
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